7.3 Best Practices - NKPSIMS

7.3 Best Practices

S.NO Name of Practice1 Life Saving Skills Workshops

2 Communication Skills workshop

7.3 Best Practices

Name of Practice Page NoLife Saving Skills Workshops 2-

Communication Skills workshop 324

Page No-323

324-423

7.3. Best Practice 1Lifesaving skills workshop

S.NO Name of workshop Page no

1 Covering letter 3

2 Consolidated data 4-6

3 IAP-Basic Life support (BLS) 7-54

4 AHA accredited BLS &ACLS 55-182

5 Code Blue Training 183-207

6 UG -Lifesaving workshops 208-285

7 BLSO & ALSO 286-323

Indian Academy of Pediatrics accredited

Basic Life Support (BLS) Workshops

S.NO Name of workshop Page no

1 BLS-HCP 8-20

2 BLS for MBBS Students 21-26

3 BLS for Layperson 27-34

4 BLS Mass Awareness Program 35-44

5 Checklist for practical examination 45-46

5 BLS Sample certificate 47

6 Geotagged photographs of workshop 48-51

7 IAP-BLS Instructor List 52-53

8 Evidence of success: Newspaper coverage

54

Emergency Medical Services

(Clinical Skills Lab Activity)

IAP BLS - Instructor Details

Sr.No

Name of the Instructor Designation Department Phone

number Email. Id

1 DR. ANJALI BHURE Professor & HOD Anaesthesiology 9822563121 [email protected]@gmail.com

2DR.SHUBHADA DESHMUKH

Professor Anaesthesiology9822202526

3DR.SUMITA PRAMANIK

Asst.Lecturer Anaesthesiology7709428071 [email protected]

4 Dr.PriyaSadawarte Asso. Professor Anaesthesiology 9422506057 [email protected]@yahoo.co.in

5DR.CHARUTAGADKARI

Asso. Professor Anesthesiology9822563121

6DR.AJAY WATWE

Sr. Resident Anesthesiology9822370695 -

7 DR.RAJESH N. DEHANKAR Asso. Professor Anatomy 9552176486 [email protected]@gmail.com

8DR.SANJAY WALULKAR

Asso. Professor Anatomy9822708712

9 DR.SURESH CHARI Professor Biochemistry 9422109500 [email protected][email protected]

10DR.SMITANARAD

Asso Professor Biochemistry9423682499

11DR.MADHUR GUPTA

Professor HOD Biochemistry9422782291 [email protected]

12 DR.PRATIMASHENOYProfessor & HOD Conservative

Dentistry9822220506 [email protected]

13DR.VRINDAKOLTE

Asst Professor Dental9822366938 [email protected]

14DR.KSHITIJ BANG


15DR.RAMAKRISHNA SHENOY

Vice Dean Dental9822220505 [email protected]

16DR.AshishBodhade


17DR.NILIMABUDHRAJA


18 DR.SONALI KHADAKKAR Asst Lecturer ENT Dept 9890070624 [email protected]

19 DR.NILIMASAOJI Asst. Professor Medicine 9823274711 [email protected]

[email protected][email protected]

20 DR.SUNANDACHAOJI Lecturer Medicine 9922965406

21DR.SHILPA DEOKE

Asso. Professor Medicine9422955094

22DR.TANUJA MANOHAR

Asso. Professor Medicine9822706335 [email protected]

23DR.R. KSHIRSAGAR

Asso. Professor Medicine9423172802 [email protected]

24 DR.KALPANA DATE Asso. Professor Microbiology 9422808066 [email protected]@gmail.com

25DR.UMESHHASSANI

Asso. Professor Microbiology9890130907

27DR.KANCHAN DWIDMUTHE

Lecturer OBGY8237659529 [email protected]

28DR.MOHANA MUJUMDAR

Asst.Lecturer Ophthalmology8805273987 [email protected]

29DR.SAMIR DWIDMUTHE

Asso.Professor Orthopaedic9422904819 [email protected]

30DR.DEVASHISH BARIK

Professor Orthopaedic9822237840 [email protected]

31DR.RACHANA SONTAKKE

Sr. Resident Paediatrics9869079585 [email protected]

32DR.KIRAN GAIKWAD

Asst Lecturer Paediatrics9822361511 [email protected]

33

DR.MEENAKSHIGIRISH

Asst.Professor Paediatrics

9823084604 [email protected]

34DR.PRADEEPPAZARE

Asst.Professor Paediatrics7387091444 [email protected]

35DR.ROHINIEDHOKANE

Asst Professor Paediatrics9373477330 [email protected]

36DR.ASHISHVAIDYA


37DR.ARCHANAJAISWAL


38 DR.HIMANSHU DUA Asso. Professor Paediatrics 9371137666 [email protected]@gamil.com

39DR.SHUBHA GADE

Asst Professor Physiology9422101571

40DR.RASHMI MAHULKAR

Asst.Lecturer Physiotheraphy9527597809 [email protected]

41DR.NEHA GOTMARE

Asst.Professor Physiotherapy9730076132 [email protected]

42DR.RASHMIRONGE

Lecturer Physiotherapy9158880733 drmint1011yahoo.co.in

43DR.SUSHRUT FULARE

Asso.Professor Surgery9403930357 [email protected]

44DR.RAJU WILKINSON

Asso.Professor Surgery9823088367 [email protected]

45 MR.ASHISHANVIKAR Lecturer VSPMCON 7038999788 [email protected]

46 MR PRAVIN [PANDE7588747186 [email protected]

Tutor vspmcon

47 MS.SUNITA DESHBRATAR Incharge Nursing 9604159353 -

48 MRS.CHHAYA PALAsst.NursingSupeintendent Nursing 9272317438 [email protected]

-49

MS.MANISHA MOON Staff Nurse Nursing 9545641062

50 .LATA KALE/KAWALE Incharge Nursing 9420957369 [email protected]

51 SAROJAMBHORE/SHINDE Nursing Supervisor Nursing 9923799418 -

52 JYOTSNA NIMBURKARInfection Control Nurse Nursing 9822502161 [email protected]

53 MS.DEVANGANADANGE Staff Nurse Nursing 9422229755 -

54 MS BHAGHASHREE BANSOD Staff Nurse Nursing 9158363205 [email protected]

55 MS.POOJAGATLEWAR Staff Nurse Nursing 8550965462 -

56 LEENAMESHRAM Clinical Supervisor Nursing9970865741 [email protected]

57 SUJO JOSE Asst.NursingSuperintendent Nursing

8793271360 [email protected]

58MRS.RITA JOHN Chief Nursing

Superintedent Nursing9595426488 [email protected]

59Mrs.VAISHALI SARODE

Clinical Supervisor Nursing9545055509 [email protected]

American Heart Association (AHA) accreditedBasic Life Support (BLS)

& Advance Cardiac Life Support (ACLS) workshops

S.NO Name of Document Page no

1 AHA approved instructor list 56

2 AHA -Instructor cards 57-67

3 BLS/ACLS workshop details 68-85

4 List of participants and attendance proof 86-169

5 BLS/ACLS testing checklists 170-173

6 Geotagged photos of workshops 174-181

7 List of manikins 182

NKPSIMS & RC andLMH/SkillsLab./ /2020 Date:-

Emergency Medical Service

Instructor Details AHA- BLS-ACLSSR.NO NAME DESI DEPT MOB. NO

1 Dr. AnjaliBhure Professor Anaesthesiology 9822563121

2 Dr.Tanuja Manohar Asso - Prof Medicine 9822706335

3 Dr. SunandaChaoji Asso - Prof Medicine 9922965406

4 Dr. ShilpaDeoke Asso - Prof Medicine 9422955094

5 Dr. NiloferMujawar Professor Paediatric 9823014275

6 Dr. MeenakshiGirish Asso - Prof Paediatric 9823084604

7 Dr.GirishNanoti Asso - Prof Paediatric 9422492050

8 Dr. KiranGaikwad Sr - Resident Paediatric 9822361511

9 Dr. AnjaliKawthalkar Asso - Prof OBGY 9850015237

10 Dr. NalinaHumney Professor Medicine 9657874811

11 Mrs. Linu Varghese Tutor VSPM MDINE 7083283882

12 Mrs. VaishaliSarodeClinicalSupervisor Nursing 9545055509

13 Mrs. LataKawale Incharge Nursing 9922929583

14 Mrs. SushilaYeole Incharge Nursing 9673412595

15 Mrs. KalpanaFulzale Staff Nurse Nursing 9767527464

16 Mrs. MamtaKamble Incharge Nursing 8552859576

17 Mrs. LeenaMeshram Supervisor Nursing 9970865741

Dr. Anjali Bhure Chairperson EMS Committee

NKPSIMS, LMH Nagpur

Megacode Testing Checklist: Scenarios 1/3/8 Bradycardia ➔ Pulseless VT

StudentName

Critical Performance Steps

Team Leader

Ensures high-quality CPR at all times

Assigns team member roles

Ensures that team members perform well

Bradycardia Management

Starts oxygen if needed, places monitor, starts IV

Places monitor leads in proper position

Recognizes symptomatic bradycardia

Administers correct dose of atropine

Prepares for second-line treatment

Pulseless VT Management

Recognizes pVT

Clears before analyze and shock

Immediately resumes CPR after shocks

Appropriate airway management

Appropriate cycles of drug–rhythm check/shock

Administers appropriate drug(s) and doses

PEA Management

Recognizes PEA

Verbalizes potential reversible causes of PEA (H’s and T’s)


Immediately resumes CPR after rhythm checks

Post–Cardiac Arrest Care

Identifies ROSC

Ensures BP and 12-lead ECG are performed, Oendotracheal intubation and waveform capnography, and orders laboratory tests

Considers targeted temperature management

TestResults Check PASS or NR to indicate pass or needsremediation:

InstructorInitials InstructorNumber

© 2016 American Heart Association

Learning Station Competency

☐ CardiacArrest ☐Bradycardia ☐Tachycardia

Megacode Testing Checklist: Scenarios 1/3/8 Pulseless VT ➔ PEA ➔ PCAC

Date ofTest



rhythm check/shock–CPR





lead ECG are performed, O2 saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests


STOP TEST

Check PASS or NR to indicate pass or needsremediation:

InstructorNumber Date

Tachycardia ☐ Immediate Post–CardiacArrestCare

✓ ifdone correctly

PASS NR

☐ MegacodePractice

Megacode Testing Checklist: Scenarios 4/7/10 Tachycardia ➔ VF ➔ PEA

StudentName


Team Leader

Ensures high-quality CPR at all times

Assigns team member roles

Ensures that team members perform well

Tachycardia Management


Places monitor leads in proper position

Recognizes unstable tachycardia

Recognizes symptoms due to tachycardia

Performs immediate synchronized cardioversion

VF Management

Recognizes VF

Clears before analyze and shock

Immediately resumes CPR after shocks

Appropriate airway management

Appropriate cycles of drug–rhythm check/shock


PEA Management

Recognizes PEA




Post–Cardiac Arrest Care

Identifies ROSC

Ensures BP and 12-lead ECG are performed, Oendotracheal intubation and waveform capnography, and orders laboratory tests





Learning Station Competency

☐ CardiacArrest ☐Bradycardia ☐Tachycardia

Megacode Testing Checklist: Scenarios 4/7/10 PEA ➔ PCAC

Date ofTest



Recognizes symptoms due to tachycardia

Performs immediate synchronized cardioversion

rhythm check/shock–CPR


reversible causes of PEA (H’s and T’s)



lead ECG are performed, O2 saturation is monitored, verbalizes need for endotracheal intubation and waveform capnography, and orders laboratory tests


STOP TEST



Tachycardia ☐ Immediate Post–CardiacArrestCare

✓ ifdone correctly

PASS NR

☐ MegacodePractice

Assessment and Activation☐ Checksresponsiveness ☐ Shouts for help/Activates emergency response system/Sends forAED☐ Checksbreathing ☐ Checkspulse

AED (follows prompts of AED)☐ Powers onAED☐ Safelydeliversashock

☐ Correctly

Resumes Compressions☐ Ensures compressions are resumed immediately

• Student directs instructor to resume compressions• Student resumescompressions

Adult CPR and AED Skills Testing Checklist

StudentName

Hospital Scenario: “You are working in a hospital or clinic, and you see a person who has suddenly collapsed in the hallway. You check that the scene is safe and then approach the p

Prehospital Scenario: “You arrive on the scene for a You approach the scene and ensure that it is safe. Demonstrate what you would do next.”

Once student shouts for help, instructor says, “Here’s the barrier device. I am going to get the AED.”

Cycle 1 ofCPR (30:2) *CPR feedback devices preferred foraccuracy

Adult Compressions☐ Performs high-qualitycompressions*:

• Hand placement on lower half of sternum• 30 compressions in no less than 15 and no

than 18seconds• Compresses at least 2 inches (5cm)• Complete recoil after eachcompression

Rescuer 2 says, “Here is the AED. I’ll take over compressions, and you use the AED.”

Instructor Notes

• Place a ✓ in the box next to each step the student completessuccessfully.• Ifthestudentdoesnotcompleteallstepssuccessfully

remediation. Make a note here of which skills




Cycle2ofCPR(repeatsstepsinCycle1)☐ Compressions ☐Breaths ☐ Resumes compressions in less than 10seconds

Shouts for help/Activates emergency response system/Sends forAED

Checkspulse

Correctly attachespads ☐ Clearsforanalysis ☐Clearstosafelydeliverashock

Ensures compressions are resumed immediately after shockdeliveryStudent directs instructor to resume compressionsor

Date ofTest

Hospital Scenario: “You are working in a hospital or clinic, and you see a person who has suddenly collapsed in the hallway. You check that the scene is safe and then approach the patient. Demonstrate what you would do next.”

Prehospital Scenario: “You arrive on the scene for a suspected cardiac arrest. No bystander CPR has been provided. You approach the scene and ensure that it is safe. Demonstrate what you would do next.”

Once student shouts for help, instructor says, “Here’s the barrier device. I am going to get the AED.”

*CPR feedback devices preferred foraccuracy

qualitycompressions*:

Hand placement on lower half of sternum30 compressions in no less than 15 and no more

Compresses at least 2 inches (5cm)Complete recoil after eachcompression

Adult Breaths☐ Gives 2 breaths with a barrierdevice:

• Each breath given over 1second• Visible chest rise with eachbreath• Resumes compressions in lessthan

10seconds

Rescuer 2 says, “Here is the AED. I’ll take over compressions, and you use the AED.”

STOP TEST

the student completessuccessfully.stepssuccessfully(asindicatedbyatleast1blankcheckbox),thestudentmust

which skills require remediation (refer to Instructor Manual for information about



Cycle2ofCPR(repeatsstepsinCycle1) Onlycheckboxifstepissuccessfullyperformed

Resumes compressions in less than 10seconds

Shouts for help/Activates emergency response system/Sends forAED

Clearstosafelydeliverashock

Hospital Scenario: “You are working in a hospital or clinic, and you see a person who has suddenly collapsed in the atient. Demonstrate what you would do next.”

suspected cardiac arrest. No bystander CPR has been provided.

Gives 2 breaths with a barrierdevice:

Each breath given over 1secondVisible chest rise with eachbreath

lessthan

studentmustreceiveinformation about remediation).

PASS NR

Onlycheckboxifstepissuccessfullyperformed

Adult CPR and AEDSkills Testing Critical Skills Descriptors

1. Assessesvictimandactivatesemergencyresponsesystem(thismustprecedestartingcompressions)within a maximum of 30 seconds. After determining that the scene issafe:

• Checks for responsiveness by tapping andshouting

• Shouts for help/directs someone to call for help and getAED/defibrillator

• Checks for no breathing or no normal breathing (onlygasping)

– Scansfromtheheadtothechestforaminimumof5secondsandnomorethan10seconds

• Checks carotidpulse

– Can be done simultaneously with check forbreathing

– Checksforaminimumof5secondsandnomorethan10seconds

2. Performshigh-qualitychestcompressions(initiatescompressionsimmediatelyafterrecognitionof cardiacarrest)

• Correct handplacement

– Lower half ofsternum

– 2-handed(secondhandontopofthefirstorgraspingthewristofthefirsthand)

• Compression rate of 100 to120/min

– Delivers 30 compressions in 15 to 18seconds

• Compressiondepthandrecoil—atleast2inches(5cm)andavoidcompressingmorethan2.4inches(6cm)

– Useofacommercialfeedbackdeviceorhigh-fidelitymanikinishighlyrecommended

– Complete chest recoil after eachcompression

• Minimizes interruptions incompressions

– Delivers 2 breaths so less than 10 seconds elapses between last compression of one cycle and first compression of nextcycle

– Compressions resumed immediately after shock/no shockindicated

3. Provides 2 breaths by using a barrierdevice

• Opens airwayadequately

– Uses a head tilt–chin lift maneuver or jawthrust

• Delivers each breath over 1second

• Delivers breaths that produce visible chestrise

• Avoids excessiveventilation

• Resumes chest compressions in less than 10seconds

4. Performs same steps for compressions and breaths for Cycle2

5. AEDuse

• Powers onAED

– TurnsAEDonbypushingbuttonorliftinglidassoonasitarrives

• Correctly attachespads

– Places proper-sized (adult) pads for victim’s age in correctlocation

• Clears foranalysis

– ClearsrescuersfromvictimforAEDtoanalyzerhythm(pushesanalyzebuttonifrequiredbydevice)

– Communicates clearly to all other rescuers to stop touchingvictim

• Clears to safely delivershock

– Communicates clearly to all other rescuers to stop touchingvictim

• Delivers ashock

– Resumes chest compressions immediately after shockdelivery

– Does not turn off AED duringCPR

6. Resumescompressions

• Ensures that high-quality chest compressions are resumed immediately after shockdelivery

– Performs same steps forcompressions

Code Blue Training

for

Residents and Nurses

(Page no:183-207)

a

Undergraduate training in Lifesaving workshops

S.No Name of document Page No

1 Incorporation of Life saving workshops

in UG time table209-216

2 BLS workshops of MBBS Students 217-227

3 Code Blue Training for MBBS Students 228-277

4 Airway Workshop 278-281

5 Normal Labour 282-285

NKPSIMS and LMH & RCFoundation Course-MBBS Students

CourseCoordinator: Dr.AnjaliBhure

Dr.SumitaBhargav

Date:-08/08/2019 Time:- 11.00am to1.00pm

Duration Time Topic

Faculty

5 mts 11.00amto11.5.0am

Introduction Dr Anjali Bhure

10 mts 11.5.0am to 11.15am

Pre Test Sister Vaishali

45 mts 11.15am to 12.00am

Adult BLS Dr. Anjali Bhure Dr.SumitaBhargav

45mts 12.00amto 12.45pm

Infant BLS Dr. Anjali Bhure Dr.SumitaBhargav

15mts 12.45pm to1.00pm

Post Test &Feedback

Sister Vaishali



Dr.SumitaBhargav

Date:-09/08/2019 Time:- 11.00am to1.00pm

Duration Time Topic

Faculty

5 mts 11.00amto11.5.0am


10 mts 11.5.0am to 11.15am


45 mts 11.15am to 12.00am

Adult BLS Dr. Anjali Bhure Dr.SumitaBhargav

45mts 12.00amto 12.45pm

Infant BLS Dr. Anjali Bhure Dr.SumitaBhargav


Post Test &Feedback

Sister Vaishali



Dr.SmitaBhargav

Date:-13/08/2019 Time:- 11.00am to1.00pm

Duration Time

Topic

Faculty

5 mts 11.00amto11.5.0am


10 mts 11.5.0am to 11.15am


45 mts 11.15am to 12.00am

Adult BLS Dr. Anjali Bhure Dr. SmitaBhargav

45 mts 12.00amto 12.45pm

Infant BLS Dr. Anjali Bhure Dr. SmitaBhargav


Post Test &Feedback

Sister Vaishali


Course Coordinator: Dr. ShubhadaDeshmukh

Dr.AtulKamble

Date:-14/08/2019 Time:- 11.00am to1.00pm

Duration Time

Topic

Faculty

5 mts 11.00amto11.5.0am

Introduction DrShubhadaDeshmukh

10 mts 11.5.0am to 11.15am

Pre Test Dr.AtulKamble

45 mts 11.15am to 12.00am

First Aid Lecture

DrShubhadaDeshmukhDr.AtulKamble

45 mts 12.00amto 12.45pm

First Aid Role Play



Post Test &Feedback

Dr.AtulKamble


Course Coordinator: Dr. ShubhadaDeshmukh

Dr.AtulKamble

Date:-19/08/2019 Time:- 11.00am to1.00pm

Duration Time

Topic

Faculty

5 mts 11.00amto11.5.0am

Introduction DrShubhadaDeshmukh

10 mts 11.5.0am to 11.15am

Pre Test Dr.AtulKamble

45 mts 11.15am to 12.00am

First Aid Lecture


45 mts 12.00amto 12.45pm

First Aid Role Play



Post Test &Feedback

Dr.AtulKamble

American Association of Family Physicians

(AAFP)accredited

Basic Life Support in Obstetrics (BLSO) Workshop

Advanced Support in Obstetrics (ALSO) Workshop

(Page No 286-323)

Scanned by CamScanner

Department of Obstetrics & Gynecology

Workshop for BLSO ( Basic Life Support in Obstetrics)

Report

Department of Obstetrics and Gynecology of NKP Salve Institute had organised workshops of Basic life support in Obstetrics (BLSO)and Advanced life support in Obstetrics of American association of Family Physician from 15th to 17th October at Skills Lab NKPSIMS. It was attended by postgraduate students from NKP Salve Institute and LataMangeshkar hospital, Indira Gandi Government Medical College Nagpur ,Government Medical college Nagpur and members of Nagpur Obstetrics and Gynecology society(NOGS). Dr. Sajjini Thomas from Chicago was the course director for the workshops. Dr. Sulabha Joshi, Professor and Head of the dept of Ob/Gy from NKPSIMS, Dr. Anjali Kawthalkar Professor from NKPSIMS, Dr. KshamaKedar Professor from IGGMC, Dr. Savita Somalwar Associate Professor from NKPSIMS,Dr. Sheela Jain and DrKanchanDwidmuthe Assistant Professor from NKPSIMS, Mr. Mahipal and MrsJyothi from GVK EMRI were instructors for the workshops. All the participants appreciated both the workshops. All the faculties and staff of skill lab MrsRashmi, MrsVaishali worked hard for the success of the workshop.

Prof. & HOD Dept. of OBGY

Best Practice 2

Communication Skills Workshops

and

Communication Skills Lab

Communication Skills Workshop (CSW)

and Communication Skills Lab

S.No Name of Document Page no

1 List of Communication Skills workshops 326

2 Communication Skills workshop-I 327-361

3 Communication Skills workshop-II 362-387

4 Communication Skills workshop-III 388-409

5 Publication in IJMISR 410-414

6 Photographs of Communication Skills workshop 415-423

N.K.P. Salve Institute of Medical Sciences & Research Centre and LataMangeshkar Hospital

Digdoh Hills, Hingna Road, Nagpur – 440 019

Phone (07104) 665000,244291, Fax:(07104) 306111- mail: [email protected]/website: www.nkpsims.in

Medical Education Technology Unit

COMMUNICATION SKILLS WORKSHOPS FOR MBBS STUDENTS

COMMUNICATION SKILLS I

Date Batch Number of Faculty Number of Students

27th Jan 2016 2015 13 136

13th Sept. 2016 2016 16 123

27th Sept. 2017 2017 15 140

18th Sept 2018 2018 16 145

Foundation Course Part I 8th 9th& 13th August 2019

2019 2 129

Foundation Course Part II 14th, 16th& 19th

August 20192019 2 129

COMMUNICATION SKILLS II


30th March 2017 2015 8 135

19th April 2018 2016 10 112

10th April 2019 2017 9 132

COMMUNICATION SKILLS III


11th August 2017 2012 8 57

8th August 2018 2013 7 59

16th Oct 2019 2014 4 23

Dr Suresh Chari DirectorResearch Cell & MET Unit NKPSIMS & RC and LMH




NKPSIMS & RC and LMH/MET Unit /01 /2016 Date: 25th Jan2016





NKPSIMS & RC and LMH/MET Unit /03 /2016 Date: 11th Sept.2016





NKPSIMS & RC and LMH/METUnit/ 09 /2017 Date: 26th Sept.2017





NKPSIMS & RC and LMH/METUnit/ 15 /2018 Date: 15th Sept.2018





NKPSIMS & RC and LMH/MET Unit /05 /2017 Date: 25th March2017





NKPSIMS & RC and LMH/MET Unit /11 /2018 Date: 18th April2018





NKPSIMS & RC and LMH/MET Unit /17 /2018 Date: 9th April2019





NKPSIMS & RC and LMH/MET Unit / 07 /2017 Date: 10th August2017





NKPSIMS & RC and LMH/MET Unit / 13 /2018 Date: 7th August2018





NKPSIMS & RC and LMH/MET Unit / 20 /2018 Date: 14th Oct2019


Inauguration of Communication Skills Lab ‘Samwad’

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7.3 Best Practices - NKPSIMS

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